FORMAT 3A
Submit originals and an electronic copy to UAF Governance/Faculty Senate Office

NEW OCCUPATIONAL ENDORSEMENT REQUEST
(UA Regulation 10.04.02)

I. 	Cover Memorandum should include:
	A. 	Name of person preparing request

	B. 	Brief statement of the proposed endorsement, industry objectives and abbreviated student learning outcomes assessment and implementation plan.

	C.	Provision for review signatures of preparation and approval: 
			Industry or advisory council representative
			Program head responsible for the transcription request and completion checklist
			Dean of school/college housing the occupational endorsement
			College of Rural and Community Development Academic Council 
		Final Signatures for approval (following submission to Faculty Senate office): 
			Curricular Affairs Committee Chair
			President, UAF Faculty Senate 
			Chancellor or designee (Final approval is at Chancellor level.)

II.  	Identification of the Endorsement  (All pages should be numbered.)
	A.	Description of the Occupational Endorsement
		1.	Occupational Endorsement title
		2.	Admissions requirements and prerequisites
		3.	Course descriptions of required catalogue courses.  (Endorsements use existing courses.)
		4.	Requirements for the endorsement. 
			a.  Include a sample course of study and a 3-Year Cycle of course offerings.  
			b.  Include a proposed general catalog layout copy of the endorsement with short descriptive paragraph.  

	B.	Endorsement Goals
		1.	Brief identification of objectives and subsequent means for their evaluation
		2.	Relationship of endorsement objectives to industry needs
		3.	Occupational/other competencies to be achieved
		4.	Relationship of courses to the endorsement objectives

	C.	Describe Student Learning Outcomes Assessment Plan, and identify the individual (by position) who will be responsible for directing its implementation. 

III.	Personnel Directly Involved with Program
	A. 	List current faculty teaching the required and elective courses and titles, including brief statement of duties and qualifications 
	B. 	Administrative, coordinating and classified staff personnel associated with the endorsement 

IV.	Enrollment Information
	A.	Projected enrollment 
	B.   	How determined/who surveyed/how surveyed
	C.   	Maximum enrollment which endorsement can accommodate (endorsement capacity)

V.	Need for Occupational Endorsement
	A.	Employment market needs:
		1. 	Who surveyed? How? (Standard procedures with industry/advisory council listed)
		2. 	Job opportunities now, and two, five, and ten years from now. How were these predictions determined? (Local, regional, State surveys, periodic review will ensure the currency.) 
		3.	How have positions been filled to date?

VI.	Other
	Any justification for the endorsement, which might not fit under III and IV above. 

VII.	Relation of Endorsement to other Programs within the System

VIII.	Implementation/Termination
	A.	Date of implementation
	B.	Plans for recruiting students
	C.	Plans for phasing out endorsement if it proves unsuccessful
	D.	Assessment of the endorsement.  (Include a Student Outcomes Assessment Plan.)